Prithul Koirala, MD
Internal Medicine Physician · Evanston, IL
Prithul Koirala, MD is an internal medicine physician with a practice address in Evanston, Illinois, and NPI 1396463212, issued on Aug 16, 2022. Check the license (Illinois 125.079994, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Prithul Koirala
- Credential
- MD
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License number
- 125.079994 IL
Self-reported in NPPES; status is on the state search - Practice location
- 355 Ridge Ave, Evanston, IL 60202
- Phone
- (872) 806-7413
- Enumerated
- Aug 16, 2022
- Record last updated
- Aug 16, 2022
- Medicare enrollment
- Enrolled (PECOS I20251216005181); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 7,238 in Illinois → Look up another NPI →
Also registered at 355 Ridge Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Mubashir Ahmed, MDStudent in an Organized Health Care Education/Training Program1972439222
- Youmna Ahmed, M.DInternal Medicine Physician1083808794
- Unknown Aishwarya Ramesh, MDStudent in an Organized Health Care Education/Training Program1104506849
Verify Prithul Koirala in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 125.079994Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
99% fewer Medicare Part D claims than the average internal medicine physician in 2024
42 Medicare Part D claims for 25 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Bills Medicare through one group practice
- Southeastern Physician Services PCUnion City, TN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Prithul Koirala among 7,238 internal medicine physician records in Illinois
Prithul Koirala, MD is one of 7,238 internal medicine physician records with a practice address in Illinois. 73% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2022, is newer than 78% of them.
- NPI issued2022 · 78% of these records are older, 18% newer
- In a Medicare fileYes · 73% of these records are
- In the CMS Doctors and Clinicians fileYes · 50% of these records are
- Graduated2019 · median 2003 among the 3,580 with a school on file
- Record last updated2022 · 47% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
178 internal medicine physician records list a practice address in Evanston
They are 178 of the 4,013 NPPES records with a practice address in Evanston, and 7,238 internal medicine physician records in Illinois.
All 7,238 in Illinois → Every provider in Evanston → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
- Youmna Ahmed, M.DEvanston, IL 602021083808794
- Sanjolee Ansari, M.D.Evanston, IL 602021861423808
- Thomas Campbell, MDEvanston, IL 602021972506665
- Tessa Fischer, MDEvanston, IL 602021730247859
- Kenneth Grumet, M.D.Evanston, IL 602021275564940
- Anshu Gupta, MDEvanston, IL 602021063466738
- Avery Hart, MDEvanston, IL 602021831135102
- Hana HillEvanston, IL 602021619109246
Common questions
What is Prithul Koirala, MD's NPI number?
Prithul Koirala, MD's National Provider Identifier (NPI) is 1396463212, issued on Aug 16, 2022. An NPI identifies a provider in billing; it is not a license.
Where is Prithul Koirala, MD located?
The NPPES record lists a practice address at 355 Ridge Ave, Evanston, IL, 60202. Phone: (872) 806-7413. Providers update this record themselves, so call before visiting.
How can I verify Prithul Koirala, MD's license?
NPPES lists Illinois license number 125.079994, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Prithul Koirala, MD prescribe under Medicare Part D?
In 2024, Prithul Koirala, MD had 42 Medicare Part D claims for 25 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.